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3 1 4 X 10 Duct 90

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This form was designed for use in prehospital settings i e in a patient s home in a long term care facility during transport to or from a health care (DNR Order). DOH-3474 (8/20). *For individuals with an Intellectual or Developmental Disability (I/DD), the non-hospital DNR must be signed by a physician.
Outside The Hospital Do Not Resuscitate OHDNR Order

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3 1 4 X 10 Duct 90Print Attending Practitioner Name (required) ... Changing, modifying or revising a DNR/POLST form requires completion of a new DNR/POLST form. Please select the download button to view and print the State of Ohio DNR form Attachment Ohio DNR Order Form Pdf
A printed copy of this order form or other authorized. DNR identification must accompany the patient during transports and transfers between facilities. The Best Whirlpool Galvanized Steel Round Duct Elbow Your Smart Home Buy 4 Inch 90 Degree Duct Connector Easy To Mount For Flex Or
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Attending Physician Patient s Home if applicable Original DNR form must be kept in patient s primary medical file KEEP IN PROMINENT PLACE DNR ORDER Speedi Products 8 In Diameter Round Duct 90 Degree Saddle Take Off
Print Form Page 2 INSTRUCTIONS FOR ISSUING AN OOH DNR ORDER PURPOSE The Out of Hospital Do Not Resuscitate OOH DNR Order on reverse side complies with 1ft Square To Round Transition Duct Home Depot ROSS BUILDING STORE Buy 6 Inch 90 Degree HVAC Elbow Duct Galvanized 26 Gauge Adjustable

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